INTRODUCTION TO CLINICAL PRACTICE-CLINICAL SKILLS

INTRODUCTION TO CLINICAL PRACTICE-CLINICAL SKILLS

INTRODUCTION TO CLINICAL MEDICINE – CLINICAL SKILLS

COURSE CODEXP0101

COURSE INSTRUCTORIoannis Mpalogiannis, Assistant Professor

CO-INSTRUCTORSSokratis Varitimidis, Georgios Tzovaras

ECTS:3.00

COURSE TYPE

CC | Skills Development

TEACHING SEMESTER4st SEMESTER

WEEKLY TEACHING HOURS: 4 HOURS

Total Time (Teaching Hours + Student Workload)56 HOURS

PREREQUIRED COURSES:

NO

LANGUAGE OF TEACHING AND EXAMSGreek

AVAILABLE TO ERASMUS STUDENTSNo

SEMESTER LECTURES:DETAILS/LECTURES

TEACHING AND LEARNING METHODS :

Presentations:

Communication skills – In addition, the discussion of specific problems in the approach and treatment of patients with different backgrounds (racial, social, religious, etc.), the development of privacy, ethics and clinical medicine is encouraged.

Theoretical explanation of each clinical task (before practice) in order to understand the indications, the choices of facilities, the way of execution

Small working groups:

Practical exercise (Hands on training) in models and patients under supervision – guidance

Due to the number of students, courses 4-12 will be done cyclically in the semester (in parallel) in small students groups.

Steady work teams to ensure everyone is exposed to all the practical exercises

Discussion and collaboration between team members on cases selected by the instructor. Students without instructor will collaborate to present the case with the help of books, articles and computer-based tools

Two to one / one training:

 Two students will follow a faculty member in their clinical duties for one teaching day (shadowing). The aim is to introduce and understand the daily clinical practice in real conditions and to develop communication with the faculty members.

Introduction to the use of digital aids in Medical education

Use of instructional videos

Use of models


STUDENT EVALUATION

– Student examination / evaluation takes place at the end of the course with their participation in the presentation of the case (30%) but also with the Objectively Structured Clinical Examination (OSCE) (70%) which consists of skills evaluation through a circular sequence of skill  stations in the form of simulation (models, impersonating patients).

– The evaluation of the instructor by the student will be done with the special evaluation questionnaires

– The general evaluation criteria are analyzed during the introductory course.


Objective Objectives/Desired Results:

Educational Needs:

The course of “Introduction to Clinical Practice-Clinical Skills” aims to meet specific and recognized educational needs as it has been pointed out at the level of the Faculty of Medicine of the University of Thessaly (teaching staff and students) and from external evaluations that:

a) The distinction between basic and clinical sciences from the first day resulting to a delay of students’ exposure to the clinical environment for 3 years, creates the feeling that they are trained in something that has nothing to do with the function-profession of the Doctor they chose and pursued with exhausting effort.

b) Medical students’ training is highly theoretical and weak in the teaching of clinical skills.

c) There is a need to introduce modern teaching methods for medical students including problem-based approaches in small groups of students, e-learning, better integration of preclinical and clinical subjects, and a focus on clinical skills.

At the same time, the present course enhances better harmonization of the Faculty teaching program according to the programs of certain Universities around the world, where the “Introduction to Clinical Practice” is implemented into the teaching program from the very beginning.

Learning objectives:

At the end of this course students will develop skills to:

  • Communicate effectively and easily with patients and their families overcoming communication difficulties (children, the elderly, foreigners, people with disabilities) with respect for the privacy and diversity of patients
  • Understand the basic principles of medical history taking
  • Use personal protection measures, follow good hygiene practices when examining a patient and learn how to manage waste
  • To place the patient and themselves in the appropriate position required for the clinical examination – to examine the patient with respect and dignity, paying attention to his privacy, having knowledge and respect for the patient’s autonomy
  • To get familiar with the various facilities used in diagnostic and therapeutic level during the clinical evaluation and treatment of the patient (stethoscope, sphygmomanometer, nasogastric tube, otoscope, ophthalmoscope, catheters, splints, urine test strips, etc.)
  • Be able to receive patients’ vital signs
  • Be able to take blood samples – take blood gases – blood cultures
  • To be able to place a venous-catheter
  • Be able to administer intramuscular, subcutaneous, and intravenous therapy
  • Be able to treat / change a wound by recognizing pathological conditions (inflammation, collection, rupture, etc.), remove stitches
  • Make proper use of oxygen delivery device – inhaler devices
  • Be able to catheterize the bladder – insert a splint
  • To communicate clearly and distinctly with their colleagues and other members of the medical team and to understand the importance of working with colleagues but also of scientific confrontation with active participation in discussion groups
  • Demonstrate the ability to answer questions posed in clinical practice using books, magazines, articles, and computer-based tools.

General Abilities

The course aims to:

  • Search, analysis and synthesis of data and information (practical and theoretical)
  • Skills Development
  • Decision making
  • Autonomous work
  • Teamwork
  • Work in an interdisciplinary environment

Course URL : 

Course Description:
  1. Introduction to Basic Skills – Terminology – Linking to previous semesters – preparing for the next
  2. Communication Skills – Communication with patients and colleagues – Communication difficulty –

Exercise groups

  1. Principles of history taking: Respect for patients’ privacy and diversity – Basic introduction to history by the GP – Contact with patients under guidance
  2. Principles of Protection – Hygiene (cleaning, use of mask, use of gloves, how to wear sterile gloves, waste management, etc)
  3. Principles of patient-centered clinical examination (patient approach – informing the patient about the type of examination – respect for privacy and patient diversity – placing the patient in the correct clinical position)
  4. Basic clinical skills – When and how: Measurement of vital signs (pulses, number of breaths, blood pressure), familiarity with blood pressure monitor, stethoscope, oximeter
  5. Basic clinical skills – When and how: Blood samples – blood gases – blood cultures – venous catheter placement, central line placement
  6. Basic clinical skills: basic principles of life support-cardiopulmonary resuscitation (BLS)
  7. Basic clinical skills – When and how: Nasogastric tube placement – oxygen delivery device – proper use of inhaled drug devices
  8. Basic clinical skills – When and how: Injections (intramuscular, subcutaneous, intravenous)
  9. Basic clinical skills – When and how: Wound care – Wound change – Receiving wound culture – Suturing – Stitch removal – Splint placement, Limb immobilization
  10. Basic clinical skills – When and how: Bladder catheterization (catheter types – models) – use of urine strips
  11. Case assignment – Bibliographic search for information
  12. Case presentation
  13. Shadow clinical activity (4 hours)

Courses from 4-12 will consist of one hour lecture and three hours of practice.

During the lecture will be presented the clinical practice / skill, the tools-supplementaries and their indications (When and How) in connection with the already acquired knowledge (eg anatomy, physiology) in the respective subject.

The practice will include the use of special instructional videos of the skills and / or models where possible (eg catheterization) and finally exercise in mentored patients.

Lessons 13 and 14: Groups with a faculty member responsible for case selection, guidance and presentation by students

Lesson 15. Following the specialist in his / her clinical activities: 1 (instructor) to 2 (students)

 
Recommended reading:

Students are provided with electronic Teaching Notes and “Power Point” files

Additional Bibliography:

– Σμυρνάκης Εμμ., Μοιρασγέντη Μ., Τούφας Κ. Βασικές Κλινικές δεξιότητες. UNIVERSITY STUDIO PRESS 2017;ISBN13 978-9-60-122339-1.

– James Thomas and Tanya Monaghan. Oxford Handbook of Clinical Examination and Practical Skills. OXFORD MEDICAL PUBLICATIONS 2014; ISBN 978–0–19–959397–2

 


Τμημα Ιατρικής - Πανεπιστήμιο Θεσσαλίας
en_GBEnglish
Μετάβαση στο περιεχόμενο